Individual
JEMEEL LATRICE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1787 SOUTHVIEW DRIVE, BOSSIER CITY, LA 71112
(318) 218-9538
Mailing address
1787 SOUTHVIEW DR, BOSSIER CITY, LA 71112-2045
(318) 218-9538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770001884368704
—
LA
Enumeration date
05/06/2016
Last updated
10/08/2018
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